Smart Kids Ages 5-9 Post-Survey

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* 1. Which Club do you attend?

Culver

Duneland

Portage

South Haven

Vaparaiso

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* 2. I am a:

Boy

Girl

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* 3. How old are you?

5

6

7

8

9

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* 4. True or False:

	True	False
Alcohol is illegal for children	Alcohol is illegal for children True	Alcohol is illegal for children False
Cigarette, cigars, snuff and chewing tobacco can hurt your lungs	Cigarette, cigars, snuff and chewing tobacco can hurt your lungs True	Cigarette, cigars, snuff and chewing tobacco can hurt your lungs False
It is okay for your friend to give you medicine	It is okay for your friend to give you medicine True	It is okay for your friend to give you medicine False
The drug contained in the tobacco plant is caffeine	The drug contained in the tobacco plant is caffeine True	The drug contained in the tobacco plant is caffeine False

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* 5. All of the examples below are "good" medicines or drugs EXCEPT:

Aspirin

Antibiotics

Alcohol

Heart Medicine

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* 6. Which of the following are effects of smoking cigarettes?

Stained teeth

Hard to breathe

Skin wrinkles

All of the above

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* 7. Which of the following is a way to say "NO"?

Close your eyes

Get Away

Say "Yes!"

None of the above

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* 8. All of these substances contain nicotine EXCEPT:

Cigarettes

Beer

Snuff

Chewing Tobacco

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* 9. How do you feel about the following statements:

	Agree	Not Sure	Don't Agree
Children who use drugs are more likely to do bad in school	Children who use drugs are more likely to do bad in school Agree	Children who use drugs are more likely to do bad in school Not Sure	Children who use drugs are more likely to do bad in school Don't Agree
I am responsible for making my own decisions and choices when I am with friends	I am responsible for making my own decisions and choices when I am with friends Agree	I am responsible for making my own decisions and choices when I am with friends Not Sure	I am responsible for making my own decisions and choices when I am with friends Don't Agree
It is not safe to use any product you can buy from a drug store	It is not safe to use any product you can buy from a drug store Agree	It is not safe to use any product you can buy from a drug store Not Sure	It is not safe to use any product you can buy from a drug store Don't Agree
It is not OK for children to try an alcoholic drink one time	It is not OK for children to try an alcoholic drink one time Agree	It is not OK for children to try an alcoholic drink one time Not Sure	It is not OK for children to try an alcoholic drink one time Don't Agree